Belleville Bulldogs Rugby - Junior Funding Application

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2022 Junior Cost Breakdown:

Minor Flag Rugby (Under 4 to Under 12) - $80
Under 12 Tackle Rugby - $100
Under 14 Contact Rugby - $180
Under 16 & Under 18 Contact Rugby - $220

Please fill out this form and submit it prior to the start of your season. The Board of Directors will review and assess applications. Please note that the number of players that receive funding and the amount of funding will depend on various factors. Athletes selected to receive funding will be contacted by email.

Parent/Guardian First Name *

Parent/Guardian Last Name *

Mailing Address *

Please include street, city, and postal code.

Parent/Guardian Phone Number *

Parent Guardian Email Address *

Athlete's First Name *

Athlete's Last Name *

Athlete's Date of Birth *

YYYY

Athlete's Gender *

Female

Male

Prefer not to say

Other:

Team *

Under 4 Flag (2018, 2019)

Under 6 Flag (2016, 2017)

Under 8 Flag (2014, 2015)

Under 10 Flag (2012, 2013)

Under 12 Flag (2010, 2011)

Under 12 Contact (2010, 2011)

Under 14 Contact (2008, 2009)

Under 16 Contact (2006, 2007)

Under 18 Contact (2004, 2003)

What level of funding does the athlete require? *

100%

50%

Other:

Please provide additional information to justify why the athlete requires funding. *

Submit

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